Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104615087 Individual Practitioner Female Practitioner

Dominica Boucher

Nurse Practitioner • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dominica Boucher is a certified Nurse Practitioner practicing in Worcester, MA. With approximately 2 years of clinical experience since completing medical education in 2024, Dominica Boucher delivers high-quality medical care to the local community at 55 LAKE AVE N.

Dominica Boucher is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N

Worcester, MA 016550002

Telephone 5083346691
Fax 7744417727
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Worcester, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
506 Specialists

Practicing in Worcester, MA (3545 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boucher (2 Years) 2 Yrs
Worcester Specialty Average (10.9 Years) 10.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2371640

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License MA RN2371640

Definition to come...

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Katherine Salley , MD

Surgery - Vascular Surgery

NPI 1295436467

Doctor of Medicine (M.D.)

Janice Beschle , NP

Nurse Practitioner

NPI 1376517995

Nurse Practitioner

Dr. Elias Arous , MD

Surgery - Vascular Surgery

NPI 1477537611

Doctor of Medicine (M.D.)

Dr. Eric Finnesgard , MD

Surgery - Vascular Surgery

NPI 1659909554

Doctor of Medicine (M.D.)

Stacy Brown , PA-C

Physician Assistant

NPI 1679548515

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2025

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5083341000)

📍
Updated Business Mailing Address May 08, 2025

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤
Provider Name / Credentials Updated May 08, 2025

Recorded as DOMINICA BOUCHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2025

Nurse Practitioner (License #RN2371640 in MA)

🟢
Initial NPI Registration & Enumeration May 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104615087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2025
Last Update: June 05, 2025
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.